Jacob Fortenberry, DMD

NPI #1003657651 in Boston, Massachusetts

Provider Information

NPI Number: 1003657651
Entity Type: Individual
Name: Jacob Fortenberry, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 5, 2024
Last Updated: Sep 24, 2024

Practice Location

Address: 635 ALBANY ST
City: Boston
State: Massachusetts
ZIP Code: 02118-3550
Phone: (601) 278-0923

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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